The US Oncology Network

Supports independent oncology practices, patient care

Insurance Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Part-timeHackensack, NJ, USA$18.99 - $29.22 /hrIn-person

About the Job

Requirements

A high school diploma or equivalent is required.
At least four years of combined medical billing and payment experience is required.
Knowledge of medical coding is required; oncology coding knowledge is preferred.
Knowledge of state, federal, and third-party claims processing is required.
Knowledge of state and federal collections guidelines is required.
Successfully complete required e-learning courses within 90 days of occupying the position.

Responsibilities

Monitor delinquent accounts and perform collection duties.
Review reports, identify denied claims, research and resolve issues, perform detailed account reconciliations when needed, and resubmit claims to payers.
Review payment postings for accuracy and ensure account balances are current.
Work with co-workers to resolve payment and billing errors.
Monitor and update delinquent account status.
Recommend accounts for collection or write-off.
Verify that existing patients have necessary referral and/or authorization documentation before examination dates.
Contact patients’ physicians to obtain missing or incomplete documentation.
Contact patients to secure past-due balances, verify patient demographics and insurance providers, update information in systems, and document conversations.
Answer patient payment, billing, and insurance questions and resolve complaints.
Refer patients to a Patient Benefits Representative to set up payment plans when appropriate.
Contact third-party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement.
Maintain patient and payor credit balances and ensure timely refunds within government guidelines and regulations.
Follow confidentiality, state, federal, and HIPAA laws and guidelines for patient records.
Perform other duties as requested or assigned.

Desired Qualifications

Oncology coding knowledge.

Overview

Make an impact in patient care—behind the scenes.

Regional Cancer Care Associates (RCCA) is seeking a detail-oriented and motivated Insurance Specialist to join our growing team. In this vital role, you will help ensure patients receive the care they need by supporting accurate billing, timely payments, and exceptional service.

Employment Type: Temporary Part Time

Location: Hackensack, NJ

Compensation: $18.99 - $29.22 hour

Compensation packages based on your unique skills, experience, and qualifications

Responsibilities

Monitors delinquent accounts and performs collection duties
Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
Reviews payment postings for accuracy and to ensure account balances are current
Works with co-workers to resolve payment and billing errors
Monitors and updates delinquent accounts status
Recommends accounts for collection or write-off
Verifies existing patients have necessary referral and/or authorization documentation prior to examination date
Contacts and follows up with patient’s physician for any missing or incomplete documentation
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
Answers patient payment, billing, and insurance questions and resolves complaints
May refer patients to Patient Benefits Representative to set up payment plans
Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records
Performs other duties as requested or assigned

Qualifications

High School diploma or equivalent required
Minimum four (4) years combined medical billing and payment experience required
Demonstrate knowledge of medical coding, preferably oncology coding
Demonstrate knowledge of state, federal, and third party claims processing required
Demonstrate knowledge of state & federal collections guidelines
Must successfully complete required e-learning courses within 90 days of occupying position

About the Company

The US Oncology Network

Supports independent oncology practices, patient care

The US Oncology Network coordinates a nationwide group of independent oncology practices to deliver cancer care close to home. It provides local physicians with clinical and business support, including access to advanced technologies and shared resources, so they can offer comprehensive, value-based treatment in community settings. By pooling expertise and capabilities, the Network helps independent practices operate more efficiently and sustainably while maintaining physician autonomy. Its goal is to improve patient outcomes and physician satisfaction by delivering high-quality, patient-centered care through a scalable, practice-centric platform.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Upper Merion Township, Pennsylvania
Founded: 1999

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